I usually stop the HMF once a baby reached 2.5-3.0 kg.  If the baby is a slow grower, she could go to a couple of fortified feedings daily however she wants to feed it.  However, you shouldn't use the HMF, but something more appropriate for a bigger baby.  (A pediatric dietitian could help you with this.)  I certainly agree (even while fortifying milk) that the baby should be put to breast to begin learning how to nurse.  It definately is high time now.  I wonder if the mom really wants to "breastfeed" or if she thinks she will just continue bottle feeding breast milk.  I hope not.  She certainly will need support to begin getting her baby to breast.

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Ginger Carney, RD, LDN, IBCLC
Clinical Nutriiton Mgr./Lactation Consultant
Le Bonheur Children's Medical Center
Memphis, TN  
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